Phillip Ruiz

LBN: San Manuel Medical Clinic, Inc
Phillip Ruiz is an health care organization with primary practice located at 7400 Pacific Blvd A, Huntington Park CA 90255-5739. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. San Manuel Medical Clinic, Inc can be contacted via phone (323) 584-8881, or through Ruiz, Phillip A via phone (323) 584-8881.

Contact Information

Primary practice address
7400 Pacific Blvd A Huntington Park CA 90255-5739
Phone: (323) 584-8881
Fax: (323) 584-8882
Website:
Map and Directions
Authorized official contact:
Name: Ruiz, Phillip A Doctor of Medicine (MD)
Phone: (323) 584-8881

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A44599 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A30390 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A41503 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15560 California

Profile Details

NPI number 1902192362
LBN Legal business name San Manuel Medical Clinic, Inc
DBA Doing business as Phillip Ruiz
Authorized official Ruiz, Phillip A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 23rd, 2011
Last updated Aug 11th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902192362 NPPES
California Other PA15560 MULTI-SPECIALTY GROUP-PHYSICIAN ASSISTANT
California Other A44599 MULTI-SPECIALTY GROUP-PHYSICIAN ASSISTANT

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